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Individual

DR. DENA GRACE COSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6939 COX RD STE 350, LIBERTY TOWNSHIP, OH 45069
(513) 564-1600
(513) 564-1624
Mailing address
6939 COX RD STE 350, LIBERTY TOWNSHIP, OH 45069-7595
(513) 564-1600
(513) 564-1624

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35121483
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0086859
OH
Enumeration date
06/24/2009
Last updated
10/27/2020
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